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SUBJECTS
Agenda Meeting 081024 Be Prepared Submit Issues Review Kaiser Primar

1303 -
1303 -    ..
1304 - Summary/Objective
1305 -
130501 - Follow up ref SDS 11 0000, ref SDS 7 0000.
130502 -
130503 -
130504 -
130505 -
130506 -
130508 -  ..
1306 -
1307 -
1308 - Progress
1309 -
130901 - Millie is meeting with primary care physician tomorrow at Kaiser to
130902 - review progression of disease and options for follow on treatments.
130903 - On 081017, Doctor Rugo, ref SDS 8 215I, and later Jill, the Clinical
130904 - Research Coordinator, have asked not to be included on distribution to
130905 - the medical team.  The email address received for Glenna has bounced
130906 - back, indicating a mistake.  Submission to Brigid and to Megan may
130907 - provide opportunity for wider distribution at UCSF...
130908 -
130909 -    1.  Subject: Agenda Meeting Friday Kaiser Primary Care Physician
130910 -        Date: Thu, 23 Oct 2008 07:36:04 -0700
130919 -         ..
130920 -    3.  Here are main issues to review tomorrow...
130921 -
130922 -        1.  Results of biopsy on left supraclavicular performed 081022
130923 -            at Kaiser Head and Neck Department, ref SDS 11 NZ5N;
130924 -            pathology report may not be available.
130925 -
130926 -               [On 081023 1452 Doctor Damen letter to medical team
130927 -               reported results biopsy test on 081022 show positive for
130928 -               recurrence breast cancer. ref SDS 12 4Q9Q
130930 -                ..
130931 -               [On 081024 1150 meeting with primary care physician used
130932 -               agenda submitted today. ref SDS 14 C46G
130934 -             ..
130935 -            Doctor Daamen propsed re-test with more rigorous core
130936 -            biopsy, if the FNA test yesterday is negative. ref SDS 11
130937 -            PE8M
130938 -
130939 -               [On 081024 1130 Millie met with Kaiser Head and Neck
130940 -               Department; decided to perform core biopsy to test for
130941 -               status change, because Kaiser Lab uses different
130942 -               procedures from the lab UCSF uses to check biopsy tissue
130943 -               for status change; Kaiser further decided to defer
130944 -               performing core biopsy work until 081107 after Millie
130945 -               returns from vacation to reduce risks of complications
130946 -               cascading out of control without ready access to Kaiser
130947 -               health care while traveling. ref SDS 13 G15K
130949 -             ..
130950 -        2.  Examination IBC following up review at UCSF on 081016
130951 -            finding increased intensity on left arm. ref SDS 7 J34U
130953 -             ..
130954 -        3.  Order CT test on 081107 after I return from treatment at
130955 -            UCSF after 2p. [clarifies planning on 081015 calling for
130956 -            next CT test on 081113, ref SDS 5 K34V, and further
130957 -            corrects error in work plan on 081016, ref SDS 7 J44X, -
130958 -            081107 is 8 weeks after prior test on 080911].
130959 -
130960 -            a.  Coordinate ordering test at Kaiser Walnut Creek if
130961 -                prepared to use Power Port for injecting contrast
130962 -                medium [planned in letter to medical team on 080917,
130963 -                ref SDS 4 SG4X, and a month later on 081015,
130964 -                ref SDS 5 K354], and if not yet set up, order test at
130965 -                Kaiser Oakland CT Department, specifying use of Power
130966 -                Port. ref SDS 5 K36S
130967 -
130968 -                   [On 081024 primary care physician ordered CT test at
130969 -                   Kaiser in Walnut Creek on 081107 1300, and asked
130970 -                   Millie to coordinate arrangements for the CT
130971 -                   Department to use the Power Port, based on success
130972 -                   doing the prior CT at Kaiser in Oakland. ref SDS 15
130973 -                   V58K
130975 -                 ..
130976 -            b.  Consider scope CT test include neck for cross check
130977 -                adenopathy left supraclavicular.  Doctor Daamen's
130978 -                review yesterday of prior CT tests showed some tests
130979 -                were sufficient to check for cancer, and some were not,
130980 -                i.e., borderline. ref SDS 11 MU3I
130982 -                 ..
130983 -            c.  Consider cite patient history [per planning on 081015],
130984 -                ref SDS 5 K367, of...
130985 -
130986 -                1)  Metastatic breast cancer, IBC left breast, left arm
130987 -
130988 -                2)  Pulmonary embolism CT test 041103, reported on
130989 -                    041103, ref SDS 1 QP6S, recurrence diagnosed CT
130990 -                    test 060930,[reviewed on 061012. ref SDS 2 294Q].
130992 -                     ..
130993 -                3)  Interstitional lung disease CT test 080718
130994 -                    ...reviewed on 080723, ref SDS 3 TS4J
130996 -             ..
130997 -        4.  Sunitinib clinical study Consent [received from UCSF on
130998 -            081016, ref SDS 7 J34R] consider questions on UCSF proposal
130999 -            reviewed on 081017, ref SDS 9 7R51, and including favorable
131000 -            comments by Doctor Stritter at Wellness Community seminar
131001 -            on 081018. ref SDS 10 PQ6X
131003 -             ..
131004 -        5.  Labs - try posting to medical chart most recent blood test
131005 -            report on 081016, ref SDS 6 075H, with citation to UCSF
131006 -            received from patient...
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